국민건강보험법 시행령
Article 70-2 (Standards for Imposing a Penalty Surcharge)
제70조의2 과징금의 부과기준
- Ministry
- 보건복지부
- In force
- 2026-02-19
- Articles
- 123
보건복지부장관은 법 제41조의2제3항에 따른 요양급여의 적용 정지 대상인 약제가 요양급여의 적용 정지 처분을 한 날이 속한 연도 또는 그 전년도에 요양기관으로부터 요양급여비용이 청구된 약제(제2항 각 호에 해당하는 약제는 제외한다)인 경우에는 법 제99조제2항제1호 또는 같은 조 제3항제1호에 따라 요양급여의 적용 정지를 갈음하여 과징금을 부과할 수 있다. <신설 2021.12.7>
If a drug that is subject to suspension of medical care benefits under Article 41-2 (3) of the Act was a drug for which medical care benefit costs were claimed by a medical institution in the year the suspension of medical care benefits was imposed or in the year preceding it (excluding drugs falling under any subparagraph of paragraph (2)), the Minister of Health and Welfare may impose a penalty surcharge in lieu of suspending medical care benefits, pursuant to Article 99 (2) 1 or Article 99 (3) 1 of the Act. <Newly Enacted by Act No. 16807, Dec. 7, 2021>
보건복지부장관은 법 제41조의2제3항에 따른 요양급여의 적용 정지 대상인 약제가 다음 각 호의 어느 하나에 해당하는 경우에는 법 제99조제2항제2호 또는 같은 조 제3항제2호에 따라 요양급여의 적용 정지를 갈음하여 과징금을 부과할 수 있다. <개정 2014.8.29, 2016.8.2, 2018.9.28, 2021.12.7>
1. 퇴장방지의약품
2. 희귀의약품
3. 법 제41조제3항에 따라 요양급여의 대상으로 고시한 약제가 단일 품목으로서 동일제제(투여경로ㆍ성분ㆍ함량 및 제형이 동일한 제품을 말한다)가 없는 의약품
4. 그 밖에 보건복지부장관이 특별한 사유가 있다고 인정한 약제
If a drug that is subject to suspension of medical care benefits under Article 41-2 (3) of the Act falls under any of the following subparagraphs, the Minister of Health and Welfare may impose a penalty surcharge in lieu of suspending medical care benefits, pursuant to Article 99 (2) 2 or Article 99 (3) 2 of the Act. <Amended by Act No. 12845, Aug. 29, 2014; Act No. 14272, Aug. 2, 2016; Act No. 15760, Sep. 28, 2018; Act No. 16807, Dec. 7, 2021> 1. Drugs for preventing shortages 2. Rare drugs 3. Drugs designated as medical care benefits under Article 41 (3) of the Act for which there are no other drugs of the same formulation (meaning products with the same route of administration, ingredients, content, and dosage form) as a single item 4. Drugs otherwise recognized by the Minister of Health and Welfare as having special reasons
법 제99조제3항에서 "대통령령으로 정하는 기간"이란 5년을 말한다. <신설 2018.9.28, 2021.12.7>
The period of "period prescribed by Presidential Decree" in Article 99 (3) of the Act shall be 5 years. <Newly Enacted by Act No. 15760, Sep. 28, 2018; Act No. 16807, Dec. 7, 2021>
제1항 및 제2항에 따른 과징금의 부과기준은 별표 4의2와 같다. <개정 2018.9.28, 2021.12.7>
The standards for imposing penalty surcharges under paragraphs (1) and (2) shall be as shown in Attached Table 4-2. <Amended by Act No. 15760, Sep. 28, 2018; Act No. 16807, Dec. 7, 2021>
Translation
Machine translation. The Korean text is authoritative.
Statute text is reproduced from 법제처 국가법령정보센터. This is information, not legal advice.